CN103785089A - Nasal trachea cannula inspectoscope - Google Patents
Nasal trachea cannula inspectoscope Download PDFInfo
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- CN103785089A CN103785089A CN201410068229.9A CN201410068229A CN103785089A CN 103785089 A CN103785089 A CN 103785089A CN 201410068229 A CN201410068229 A CN 201410068229A CN 103785089 A CN103785089 A CN 103785089A
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Abstract
The invention discloses a nasal trachea cannula inspectoscope. The nasal trachea cannula inspectoscope comprises an eye lens, an irradiation light source and a guide catheter. One end of the guide catheter serves as an operation and observation part end, and the other end of the guide catheter servers as a bendable part end. A first operation handle and a second operation handle are arranged at the operation and observation part end, wherein the first operation handle controls a bendable part to be bent front and back, and the second operation handle controls the bendable part to be bent left and right. A divergent optical fiber channel, a focusing optical fiber channel and an observation optical fiber channel are arranged inside the guide catheter, the light outlet end of the observation optical fiber channel, the light inlet end of the divergent optical fiber channel and the light inlet end of the focusing optical fiber channel are all located at the operation and observation part end, the light inlet end of the observation optical fiber channel, the light outlet end of the divergent optical fiber channel and the light outlet end of the focusing optical fiber channel are all located at the bendable part end, the eye lens is arranged at the light outlet end of the observation optical fiber channel, and the irradiation light source is arranged at the light inlet end of the divergent optical fiber channel and the light inlet end of the focusing optical fiber channel. The nasal trachea cannula inspectoscope can accurately guide a trachea cannula to stretch into a trachea, and can detect whether foreign matter or lesions exist inside the trachea.
Description
Technical field
The present invention relates to a kind of tracheal intubation and check mirror, particularly a kind of nasal trachea cannula checks mirror.
Background technology
Endotracheal intubation has become cardio-pulmonary resuscitation and with the important measures in the anxious Cavity in Critical Patients rescue process of respiratory dysfunction.Endotracheal intubation is important rescue technology conventional in rescue service, be in management of respiratory most widely used general, the most effectively, one of means the most efficiently, be the basic skill that medical worker must skillfully grasp, rescue patient life, reduction case fatality rate are played to vital effect.
Mostly stretch into trachea through oral cavity guidance tracheal intubation clinically, complete intubate operation, then external respirator in tracheal intubation, and then auxiliaryly have the anxious Cavity in Critical Patients of respiratory dysfunction to complete respiratory movement.But for closing patient etc. such as comatose patient, general anesthesia operation patient or tooth, cannot stretch into trachea by oral cavity guidance tracheal intubation, and stretch into trachea through oral cavity guidance tracheal intubation and have following weak point: the misery of bringing to patient is large, affecting patient normally takes food, and when long-time intubate, easily cause patient's fatigue, increase oral cavity infection chance.Although exist some per nasal guidance tracheal intubations to stretch into the technology of trachea in prior art, but these technology often depend on by oral cavity tracheal intubation are set right, to tracheal intubation is accurately stretched in trachea, operation easier is large.
Summary of the invention
For the above-mentioned technical problem existing in prior art, the present invention proposes a kind of nasal trachea cannula and check mirror, easy to operate, accurately guidance tracheal intubation per nasal stretches in trachea.
To achieve these goals, the present invention adopts following technical scheme:
Nasal trachea cannula checks mirror, comprise eyepiece, radiation source and guiding tube, described guiding tube one end is operation and observation section end, the other end is bendable portion end, is provided with the first bending operating grip of control bendable portion front and back and controls the second operating grip that bendable portion bends right and left in operation and observation section end; Be provided with three optical fibre channels in guiding tube inside, disperse optical fibre channel, focusing optical fiber path and observe optical fibre channel, wherein, observe optical fibre channel bright dipping end, disperse optical fibre channel and focusing optical fiber path light inputting end is all positioned at operation and observation section end, observe optical fibre channel light inputting end, disperse optical fibre channel and focusing optical fiber path bright dipping end is all positioned at bendable portion end, eyepiece is arranged on observes optical fibre channel bright dipping end, and radiation source is arranged on disperses optical fibre channel and focusing optical fiber path light inputting end.
Further, between above-mentioned eyepiece and observation optical fibre channel, be provided with paired observation eyeglass, this paired observation eyeglass is the circular eyeglass being combined by several monochromatic fan-shaped glass lens, and the fan-shaped glass lens of described monochrome is selected an aligning and observed optical fibre channel bright dipping end.
Further, above-mentioned paired observation eyeglass is detachable eyeglass.
Further, at bendable portion end, described guiding tube inside is provided with multiple bending section back-up blocks that are connected along guiding tube length direction order, bending section back-up block is the square shape that four of front, rear, left and right corner point end is all tetrapyamid shape, and each corner point is respectively on the summit in corresponding rectangular pyramid; On each corner point end, offer respectively a drift angle perforation; On the first operating grip, be wound around one and connect the front control bracing wire of sinciput angle point end of each bending section back-up block and the rear control bracing wire of the rear corner point end of an each bending section back-up block of connection, front control bracing wire is contrary with the winding direction of rear control bracing wire on the first operating grip; On the second operating grip, be wound around one and connect the left control bracing wire of left corner point end of each bending section back-up block and the right control bracing wire of the right corner point end of an each bending section back-up block of connection, left control bracing wire is contrary with the winding direction of right control bracing wire on the second operating grip; Article three, optical fibre channel passes through from the middle part of each bending section back-up block.
Further, the middle part of above-mentioned bending section back-up block offers the first cylindric through hole, this first cylindric through hole comprises the bottom perforate that is positioned at the top perforate of bending section back-up block upper surface and is positioned at bending section back-up block lower surface, and the diameter of bottom perforate is less than the diameter of section of the first cylindric through hole remainder; Above bending section back-up block, be provided with the first annular stile being connected with perforate edge, top, the upper edge of the first annular stile is provided with annular horizontal flange; The first annular stile inside offers first central hole and a first annular optical fibre channel that is wrapped in this first central hole outside is bored a hole, the first annular optical fibre channel perforation is connected and is formed by three the first fan-shaped perforation, and three optical fibre channels pass through from one of them first fan-shaped perforation inside respectively; The first annular stile stretches into the first cylindric through hole inside that adjacent flex portion back-up block is offered; On the first annular stile between the horizontal flange of annular and bending section back-up block upper surface, be arranged with coil tension spring; The diameter of the external diameter of the horizontal flange of annular, the diameter of coil tension spring, bottom perforate is closed and is: the diameter of the diameter > bottom perforate of the external diameter > coil tension spring of annular horizontal flange.
Further, aforesaid operations and observation section end are provided with the 3rd regulating handle, on the 3rd regulating handle, be wound around one article of central pull of the first central hole that connects each bending section back-up block, on the operation of central pull and observation section end and on bendable portion end, a tension adjustment spring is respectively set.
Further, above-mentioned guiding tube inside is also provided with multiple cylindrical support pieces that are connected along guiding tube length direction order, is provided with four control bracing wire perforation of passing for front control bracing wire, rear control bracing wire, left control bracing wire and right control bracing wire on cylindrical support piece; Article three, optical fibre channel passes through from the middle part of each cylindrical support piece.
Further, above-mentioned guiding tube inside is also provided with multiple cylindrical support pieces that are connected along guiding tube length direction order, is provided with four control bracing wire perforation of passing for front control bracing wire, rear control bracing wire, left control bracing wire and right control bracing wire on cylindrical support piece; The middle part of cylindrical support piece offers the second cylindric through hole, above cylindrical support piece, be provided with the second annular stile being connected with the second cylindric through hole upper edge, the second annular stile stretches into the second cylindric through hole inside that adjacent column shape back-up block is offered; The second annular stile inside offers second central hole and a second annular optical fibre channel that is wrapped in this second central hole outside is bored a hole, the second annular optical fibre channel perforation is connected and is formed by three the second fan-shaped perforation, and three optical fibre channels pass through from one of them second fan-shaped perforation inside respectively; Central pull connects the second central hole of each cylindrical support piece.
Advantage of the present invention is:
The nasal trachea cannula that the present invention addresses checks mirror, for oral trachea cannula, the diameter of guiding tube obviously dwindles, the present invention is by the coordinated of eyepiece, radiation source, guiding tube and three optical fibre channels, accurately guidance tracheal intubation stretches into trachea, be beneficial to and overcome the inconvenience that oral trachea cannula technology is brought, operation easier obviously reduces; In addition, the present invention can also check whether trachea inside has foreign body or diseased region when tracheal intubation guiding is entered to trachea, facilitates medical personnel to understand the state of patient respiration passage.
Accompanying drawing explanation
Fig. 1 is that in the present invention, nasal trachea cannula checks the structural representation of mirror, and in figure, nasal trachea cannula checks that mirror is in case of bending not;
Fig. 2 is that in the present invention, nasal trachea cannula checks the structural representation of mirror, and in figure, nasal trachea cannula checks that mirror is in to curving state;
Fig. 3 is A portion enlarged drawing in Fig. 1;
Fig. 4 is B portion enlarged drawing in Fig. 1;
Fig. 5 is the top view of bending section back-up block in the present invention;
Fig. 6 is the side view of bending section back-up block in the present invention;
Fig. 7 is structural representation when adjacent two bending section back-up blocks are connected in the present invention;
Fig. 8 is the top view of cylindrical support piece in the present invention;
Fig. 9 is the side view of cylindrical support piece in the present invention;
Figure 10 is structural representation when adjacent two cylindrical support pieces are connected in the present invention;
Figure 11 is the structural representation of paired observation eyeglass in the present invention.
The specific embodiment
Below in conjunction with accompanying drawing and the specific embodiment, the present invention is described in further detail:
In conjunction with shown in Fig. 1 to Fig. 4, nasal trachea cannula checks mirror, comprises eyepiece 101, radiation source 102 and guiding tube 103.Guiding tube 103 one end are operation and observation section end I, and the other end is bendable portion end II.
Be provided with the first operating grip 104 and the second operating grip 105 in operation and observation section end I.The first operating grip 104 is for controlling the bending of bendable portion fore-and-aft direction, and the second operating grip 105 is for controlling the bending of bendable portion left and right directions.There are three optical fibre channels in guiding tube 103 inside, disperse optical fibre channel 106, focusing optical fiber path 107 and observe optical fibre channel 108.Wherein, observe optical fibre channel 108 bright dipping ends, disperse optical fibre channel 106 and focusing optical fiber path 107 light inputting ends are all positioned at operation and observation section end I, observe optical fiber 108 path light inputting ends, disperse optical fibre channel 106 and focusing optical fiber path 107 bright dipping ends are all positioned at bendable portion end II, eyepiece 101 is arranged on observes optical fibre channel 108 bright dipping ends, for observing the image frame that bendable portion end II place passes back, be convenient to observe nasal trachea cannula and check that mirror stretches into situation and whether trachea inside has foreign body or diseased region.Radiation source 102 is arranged on disperses optical fibre channel 106 and focusing optical fiber path 107 light inputting ends, and radiation source 102 preferably adopts cold light source.
Irradiated and dispersed optical fibre channel 106 and focusing optical fiber path 107 light inputting ends by radiation source 102, light arrives bendable portion end II along dispersing optical fibre channel 106 and focusing optical fiber path 107.Divergence of beam can be come owing to dispersing optical fibre channel 106, therefore can light bendable portion end II place scene, be convenient to accurate guidance tracheal intubation and stretch into trachea, dispersing optical fibre channel 106 can not well converge to light on some positions to be seen, therefore set up focusing optical fiber path 107 and can be used for a certain concrete position of close-ups as the position with foreign body or pathological changes, enriched the function of tracheal intubation bootstrap technique.Observe optical fibre channel 108 image frame at bendable portion end II place is passed on eyepiece 101, for medical personnel's guiding and observation.
Preferably, between eyepiece 101 and observation optical fibre channel 108, be provided with paired observation eyeglass 109, paired observation eyeglass 109 is the circular eyeglass that combined by several monochromatic fan-shaped glass lens 110, as shown in figure 11.The impact of the selected color exposure of paired observation eyeglass 109 light source 102 light source colors, to can more give prominence to the position of the inner foreign body of trachea or pathological changes.Paired observation eyeglass 109 is detachable eyeglass, in the time that guidance tracheal intubation enters trachea, paired observation eyeglass 109 can be taken off; When the concrete observation a certain foreign body of trachea or diseased region, between eyepiece 101 and observation optical fibre channel 108, installation Comparison is observed eyeglass 109, by rotation paired observation eyeglass 109, make to observe optical fibre channel 108 bright dipping ends and aim at the fan-shaped glass lens 110 of a certain monochrome, highlight foreign body or diseased region.
At bendable portion end II, guiding tube 103 inside are provided with multiple bending section back-up blocks 111, and each bending section back-up block 111 is connected along guiding tube 103 length direction orders.
Bending section back-up block 111 is the square shape that four of front, rear, left and right corner point end is all tetrapyamid shape.Concrete, bending section back-up block 111 is processed and is obtained by following steps:
First get the cube piece of a regular shape, form a upper cutting face and a lower cutting face obliquely respectively along four vertical rib mid points of cube piece with oblique down-cutting, the angle of cutting is identical with the angle of oblique down-cutting obliquely.
Each corner point is respectively on the summit in corresponding rectangular pyramid; The He Xia cutting face, upper cutting face forming through cutting forms two opposite flanks of rectangular pyramid, offers respectively a drift angle perforation 112 on each corner point end.
On the first operating grip 104, be wound around one and connect the front control bracing wire 113 of sinciput angle point end of each bending section back-up block and the rear control bracing wire 114 of the rear corner point end of an each bending section back-up block of connection, front control bracing wire 113 is contrary with the winding direction of rear control bracing wire 114 on the first operating grip 104; On the second operating grip 105, be wound around one and connect the left control bracing wire 115 of left corner point end of each bending section back-up block and the right control bracing wire 116 of the right corner point end of an each bending section back-up block of connection, left control bracing wire 115 is contrary with the winding direction of right control bracing wire 116 on the second operating grip; Article three, optical fibre channel passes through from the middle part of each bending section back-up block 111.
By rotating clockwise or counterclockwise the first operating grip 104, can control the elasticity of front control bracing wire 113 and rear control bracing wire 114: concrete, when current control bracing wire 113 is further wound around on the first operating grip 104, the sinciput angle point end distance of adjacent two bending section back-up blocks 111 can further, and then make guiding tube 103 lateral bend forward, on the contrary, if when rear control bracing wire 114 is further wound around on the first operating grip 104, the rear corner point end distance of adjacent two bending section back-up blocks 111 can further, and then make guiding tube 103 lateral bend backward,
In like manner, in the time that left control bracing wire 115 is further wound around on the second operating grip 105, the left corner point end distance of adjacent two bending section back-up blocks 111 can further, and then make guiding tube 103 bending to the left, on the contrary, if when right control bracing wire 116 is further wound around on the second operating grip 105, the right corner point end distance of adjacent two the bending section back-up blocks 111 that can further, and then make guiding tube 103 bending to the right.
Concrete, as shown in Figure 5 and Figure 6, the middle part of bending section back-up block 111 offers the first cylindric through hole 127, this first cylindric through hole comprises the top perforate 128 that is positioned at bending section back-up block upper surface and the bottom perforate 129 that is positioned at bending section back-up block lower surface, and the diameter of bottom perforate 129 is less than the diameter of section of the first cylindric 127 through hole remainders; The upper edge that is provided with the first annular stile 119, the first annular stiles that are connected with perforate edge, top above bending section back-up block 111 is provided with annular horizontal flange 130; The first annular stile 119 inside offer first central hole 117 and a first annular optical fibre channel that is wrapped in this first central hole outside is bored a hole, the first annular optical fibre channel perforation is connected and is formed by three the first fan-shaped perforation 118, and three optical fibre channels pass through from one of them first fan-shaped perforation 118 inside respectively; The first annular stile 119 stretches into the first cylindric through hole 127 inside that adjacent flex portion back-up block is offered, as shown in Figure 7; On the first annular stile 119 between the horizontal flange 130 of annular and bending section back-up block 111 upper surfaces, be arranged with coil tension spring 131; The diameter of the external diameter of the horizontal flange of annular, the diameter of coil tension spring, bottom perforate is closed and is: the diameter of the diameter > bottom perforate of the external diameter > coil tension spring of annular horizontal flange.
In addition, also be provided with multiple cylindrical support pieces 120 that are connected along guiding tube length direction order in guiding tube inside, on cylindrical support piece, be provided with four and control bracing wires perforation 121, front control bracing wire, rear control bracing wire, left control bracing wire and right control bracing wire respectively from one of them control bracing wire perforation through; Article three, optical fibre channel passes through from the middle part of each cylindrical support piece 120.
Concrete, shown in Fig. 8 and Fig. 9, the middle part of cylindrical support piece 120 offers the second cylindric through hole 132, above cylindrical support piece, be provided with the second annular stile 124 being connected with the second cylindric through hole 132 upper edges, the second annular stile 124 stretches into the second cylindric through hole 132 inside that adjacent column shape back-up block is offered, as shown in figure 10; The second annular stile 124 inside offer second central hole 122 and a second annular optical fibre channel perforation being wrapped in this second central hole outside, the second annular optical fibre channel perforation is connected and is formed by three the second fan-shaped perforation 123, and three optical fibre channels pass through from one of them second fan-shaped perforation 123 inside respectively.
Operation and observation section end I are provided with the 3rd regulating handle 125, on the 3rd regulating handle 125, be wound around one article of central pull 126, central pull 126 connects the first central hole 117 of each bending section back-up block 111 and the second central hole 122 of each cylindrical support piece 120 successively, on the operation of central pull 126 and observation section end I and on bendable portion end II, a tension adjustment spring (not shown) is respectively set, the 3rd regulating handle 125, for regulating the rate of tension of guiding tube 103, is avoided guiding tube overrelaxation or excessively tightens.
Certainly; more than explanation is only preferred embodiment of the present invention; the present invention is not limited to enumerate above-described embodiment; should be noted that; any those of ordinary skill in the art are under the instruction of this description; that makes is allly equal to alternative, obvious form of distortion, within all dropping on the essential scope of this description, ought to be subject to protection of the present invention.
Claims (8)
1. nasal trachea cannula checks mirror, comprise eyepiece, radiation source and guiding tube, it is characterized in that, described guiding tube one end is operation and observation section end, the other end is bendable portion end, is provided with the first bending operating grip of control bendable portion front and back and controls the second operating grip that bendable portion bends right and left in operation and observation section end; Be provided with three optical fibre channels in guiding tube inside, disperse optical fibre channel, focusing optical fiber path and observe optical fibre channel, wherein, observe optical fibre channel bright dipping end, disperse optical fibre channel and focusing optical fiber path light inputting end is all positioned at operation and observation section end, observe optical fibre channel light inputting end, disperse optical fibre channel and focusing optical fiber path bright dipping end is all positioned at bendable portion end, eyepiece is arranged on observes optical fibre channel bright dipping end, and radiation source is arranged on disperses optical fibre channel and focusing optical fiber path light inputting end.
2. nasal trachea cannula according to claim 1 checks mirror, it is characterized in that, between described eyepiece and observation optical fibre channel, be provided with paired observation eyeglass, this paired observation eyeglass is the circular eyeglass being combined by several monochromatic fan-shaped glass lens, and the fan-shaped glass lens of described monochrome is selected an aligning and observed optical fibre channel bright dipping end.
3. nasal trachea cannula according to claim 2 checks mirror, it is characterized in that, described paired observation eyeglass is detachable eyeglass.
4. nasal trachea cannula according to claim 1 checks mirror, it is characterized in that, at bendable portion end, described guiding tube inside is provided with multiple bending section back-up blocks that are connected along guiding tube length direction order, bending section back-up block is the square shape that four of front, rear, left and right corner point end is all tetrapyamid shape, and each corner point is respectively on the summit in corresponding rectangular pyramid; On each corner point end, offer respectively a drift angle perforation; On the first operating grip, be wound around one and connect the front control bracing wire of sinciput angle point end of each bending section back-up block and the rear control bracing wire of the rear corner point end of an each bending section back-up block of connection, front control bracing wire is contrary with the winding direction of rear control bracing wire on the first operating grip; On the second operating grip, be wound around one and connect the left control bracing wire of left corner point end of each bending section back-up block and the right control bracing wire of the right corner point end of an each bending section back-up block of connection, left control bracing wire is contrary with the winding direction of right control bracing wire on the second operating grip; Article three, optical fibre channel passes through from the middle part of each bending section back-up block.
5. nasal trachea cannula according to claim 4 checks mirror, it is characterized in that, the middle part of described bending section back-up block offers the first cylindric through hole, this first cylindric through hole comprises the bottom perforate that is positioned at the top perforate of bending section back-up block upper surface and is positioned at bending section back-up block lower surface, and the diameter of bottom perforate is less than the diameter of section of the first cylindric through hole remainder; Above bending section back-up block, be provided with the first annular stile being connected with perforate edge, top, the upper edge of the first annular stile is provided with annular horizontal flange; The first annular stile inside offers first central hole and a first annular optical fibre channel that is wrapped in this first central hole outside is bored a hole, the first annular optical fibre channel perforation is connected and is formed by three the first fan-shaped perforation, and three optical fibre channels pass through from one of them first fan-shaped perforation inside respectively; The first annular stile stretches into the first cylindric through hole inside that adjacent flex portion back-up block is offered; On the first annular stile between the horizontal flange of annular and bending section back-up block upper surface, be arranged with coil tension spring; The diameter of the external diameter of the horizontal flange of annular, the diameter of coil tension spring, bottom perforate is closed and is: the diameter of the diameter > bottom perforate of the external diameter > coil tension spring of annular horizontal flange.
6. nasal trachea cannula according to claim 5 checks mirror, it is characterized in that, described operation and observation section end are provided with the 3rd regulating handle, on the 3rd regulating handle, be wound around one article of central pull of the first central hole that connects each bending section back-up block, on the operation of central pull and observation section end and on bendable portion end, a tension adjustment spring is respectively set.
7. nasal trachea cannula according to claim 4 checks mirror, it is characterized in that, described guiding tube inside is also provided with multiple cylindrical support pieces that are connected along guiding tube length direction order, is provided with four control bracing wire perforation of passing for front control bracing wire, rear control bracing wire, left control bracing wire and right control bracing wire on cylindrical support piece; Article three, optical fibre channel passes through from the middle part of each cylindrical support piece.
8. nasal trachea cannula according to claim 6 checks mirror, it is characterized in that, described guiding tube inside is also provided with multiple cylindrical support pieces that are connected along guiding tube length direction order, is provided with four control bracing wire perforation of passing for front control bracing wire, rear control bracing wire, left control bracing wire and right control bracing wire on cylindrical support piece; The middle part of cylindrical support piece offers the second cylindric through hole, above cylindrical support piece, be provided with the second annular stile being connected with the second cylindric through hole upper edge, the second annular stile stretches into the second cylindric through hole inside that adjacent column shape back-up block is offered; The second annular stile inside offers second central hole and a second annular optical fibre channel that is wrapped in this second central hole outside is bored a hole, the second annular optical fibre channel perforation is connected and is formed by three the second fan-shaped perforation, and three optical fibre channels pass through from one of them second fan-shaped perforation inside respectively; Central pull connects the second central hole of each cylindrical support piece.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410068229.9A CN103785089B (en) | 2014-02-27 | 2014-02-27 | Nasal trachea cannula checks mirror |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410068229.9A CN103785089B (en) | 2014-02-27 | 2014-02-27 | Nasal trachea cannula checks mirror |
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| Publication Number | Publication Date |
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| CN103785089A true CN103785089A (en) | 2014-05-14 |
| CN103785089B CN103785089B (en) | 2016-01-20 |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105640485A (en) * | 2016-03-29 | 2016-06-08 | 广州医科大学附属第医院 | Airway environment monitoring device |
| CN106510859A (en) * | 2016-12-31 | 2017-03-22 | 重庆市光利医疗科技有限公司 | Lighting device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105640485A (en) * | 2016-03-29 | 2016-06-08 | 广州医科大学附属第医院 | Airway environment monitoring device |
| CN106510859A (en) * | 2016-12-31 | 2017-03-22 | 重庆市光利医疗科技有限公司 | Lighting device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103785089B (en) | 2016-01-20 |
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